Percutaneous Pedicle Screw and Rod Insertion for Fracture of the Lumbar Spine

Prafulla Kumar Sahoo

doi:10.1016/S0973-0508(05)80032-2

Indian Journal of Neurotrauma, Table of Contents

Indian Journal of Neurotrauma 2005; 02(02): 143-148
DOI: 10.1016/S0973-0508(05)80032-2

Techniques in Neurotrauma

Thieme Medical and Scientific Publishers Private Ltd.

Percutaneous Pedicle Screw and Rod Insertion for Fracture of the Lumbar Spine

Prafulla Kumar Sahoo

Subject Editor:

Abstract

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Abstract

Standard techniques for lumbar pedicle screw and rod fixation involve open exposure and extensive muscle dissection. The purpose of this study was to report the indications, operative techniques and preliminary experiences with percutaneous lumbar pedicle screw and rod insertion for internal fixation of the lumbar spine. Fifteen patients underwent percutaneous pedicle screw and rod fixation. Spondylolisthesis was present in six patients, compression fracture in four, chronic discogenic pain in four and tuberculosis of the spine was present in one patient. All patients underwent successful percutaneous single level fusions. The follow up period ranged from 6 to 12 months. Percutaneous lumbar pedicle screw and rod insertion can be performed in a straight forward manner through percutaneous stab wounds. This procedure minimises the morbidity associated with traditional open approaches without compromising the quality of spinal fixation. Preliminary experiences with this device has been encouraging

Keywords

Percutaneous Surgery - Lumbar Spine - Pedicle Screw Fixation

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References

References
1 Gaines RW. The use of peidcle-screw internal fixation for the operative treatment of spinal disorders. J Bone Joint Surg (Am) 82-A 2000; 1458-1476
2 Yuan HA, Garfin SR, Dickman CA. A historical cohort study of pedicle screw fixation in thoracic, lumbar and sacral spine fusions. Spine 19 (Suppl. 20) 1994; 2279S-2296S
3 Thomsen K, Christensen FB, Eiskjaer Sp. et al The effect of pedicle screw instrumentation in functional outcome and fusion rates in posterolateral lumbar spinal fusion: a prospective, randomized clinical study. Spine 22 1977; 2813-2822
4 Magerl F. External skeletal fixation of the lower thoracic and the lumbar spine. in Uhthoff HK, Stahl E. (eds) : Current concepts of external fixation of fractures. 1982. Springer-Verlag; New York: 353-366
5 Mathews HH, Long BH. Endoscopy assisted percutaneuous anterior interbody fusion with subcutaneuos suprafascial internal fixation: evolution of technique and surgical considerations. Orthop Int Ed 03 1995; 496-500
6 Lowery GL, Kulkarni SS. Posterior percutaneous spine instrumentation. Eur Spine J 09 (Suppl. 01) 2000; S126-S130
7 Foley KT, Simon DA, Rampersaud YR. Virtual fluoroscopy. Op Tech Orthop 10 2000; 77-81
8 Foley KT, Simon DA. Computer assisted fluroscopic navigation. Spine 26 2001; 347-351
9 Foley KT, Smith MM. Microendoscopic discectomy. Tech Neurosurg 03 1997; 301-307
10 Albee FH. Transplantation of a portion of the tibia into the spine for pott's disease. JAMA 57 1911; 885-886
11 Hibbs RA. An operation for progressive spinal deformities. NY Med J 93 1911; 1013-1016
12 Boucher HH. A method of spinal fusion. J Bone Joint Surg 41-B 1959; 248-259
13 Roy-Camille R, Saillant G, Mazel C. Internal fixation of the lumbar spine with pedicle screw plating. Clin Orthop 203 1986; 7-17
14 Gejo R, Matsui H, Kawaguchi Y. Serial changes in trunk muscle performance after posterior lumbar surgery. Spine 24 (10) 1999; 1023-1028
15 Kawaguchi Y, Matsui H, Tsuji H. : Back muscle injury after posterior lumbar spine surgery. Part 2:Histologic and histochemical analyses in humans. Spine 19 1994; 2598-2602
16 Kawaguchi Y, Matsui H, Tsuji H. Back muscle injury after posterior lumbar spine surgery. Part 2: Histologic and histochemical analyses in humans. Spine 19 1994; 2598-2602
17 Styf JR, Willen J. The effects of external compression by three different retractors on pressure in the erector spine muscles during and after posterior lumbar spine surgery in humans. Spine 23 1998; 354-358
18 Rantanen J, Hurme M, Falck B, Alaranta H, Nykvist F, Lehto M, Einola S, Kalimo H. The lumbar multifidus muscle five years after surgery for a lumbar intervertebral disc herniation. Spine 18 1993; 568-574
19 Sihvonen T, Herno A, Paljivarvi L, Airaksienen O, Partanen J, Tapaninaho A. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine 18 1993; 575-581
20 foley KT, Gupta SK, Justis JR, Sherman MC. Percutaneous pedicle screw fixation of the lumbar spine. Neurosurg Focus 10 2001; 1-8